Spine Health Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SPINE HEALTH CHIROPRACTIC PC

Practice address

16410 Crocheron Ave
Flushing, NY 11358-2016

Phone

(718) 445-6272

NPI assigned

Oct 11, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Edward D Shin, DCNPI 1154891844

Title

President

Phone

(718) 640-6860

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edward D Shin

  • Chiropractor
  • Flushing, NY
  • NPI 1154891844
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1665446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665446400000",
    "number": "1659096733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14935 NORTHERN BLVD APT 5F",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113543834",
            "telephone_number": "718-640-6860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16410 CROCHERON AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113582016",
            "telephone_number": "718-445-6272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14935 Northern Blvd Apt 5F",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113543834",
            "country_code": "US",
            "telephone_number": "718-640-6860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SPINE HEALTH CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-11",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A",
        "authorized_official_last_name": "SHIN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-640-6860",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seth Speiser, O.D.
• Rivka Sperber
• Rebecca Spett
• Stephanie Lauren Spielberger, PHD
• Spinal Joint Chiropractic PC
• William Ryosuke Spivey, DO
• Mark Spoerer, DO
• Stephanie Kreisberg Sporn, MA,CCC/SPL
• Veronica Sportella, MS. ED.
• Spring Occupational Therapy PC

• Chiropractor in Flushing, NY
• Providers in Flushing, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.